Polymorphous low-grade adenocarcinoma

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Polymorphous low-grade adenocarcinoma
Polymorphous low-grade adenocarcinoma - very low mag.jpg
Low magnification micrograph of a polymorphous low-grade adenocarcinoma, showing the typical variation of architectural arrangement. H&E stain.
Classification and external resources

Polymorphous low-grade adenocarcinoma, often abbreviated PLGA, is a rare, asymptomatic, slow-growing malignant salivary gland tumor.[1] It is most commonly found in the palate.[2]

The name of the tumor derives from the fact that:

  • It has a varied microscopic architectural appearance, i.e. it is polymorphous.
  • It is non-aggressive when compared to other oral cavity tumors, i.e. it is a low-grade tumor.[1]
  • It forms glands, i.e. it is an adenocarcinoma.

It affects the minor salivary glands in the area between the hard and the soft palate. Male to female ratio is 3:1, and the average age is 56 years.

Histology[edit]

Micrograph of a polymorphous low-grade adenocarcinoma. H&E stain.

PLGAs consist of a monomorphous cell population that has a varied histologic morphology.

Microscopically, its histology can be confused with an adenoid cystic carcinoma and a pleomorphic adenoma.

Treatment[edit]

PLGAs are treated with wide local surgical excision and long-term follow-up.[2] There is a recurrence rate of 14% (Peterson, contemporary of oral and maxillofacial surgery).

Additional images[edit]

Additional reading[edit]

  • Kahn, Michael A. Basic Oral and Maxillofacial Pathology. Volume 1. 2001.

References[edit]

  1. ^ a b Arathi N, Bage AM (2009). "Polymorphous low-grade adenocarcinoma of parotid gland: a rare occurrence". Indian J Pathol Microbiol 52 (1): 103–5. doi:10.4103/0377-4929.44985. PMID 19136798. 
  2. ^ a b Paleri V, Robinson M, Bradley P (April 2008). "Polymorphous low-grade adenocarcinoma of the head and neck". Curr Opin Otolaryngol Head Neck Surg 16 (2): 163–9. doi:10.1097/MOO.0b013e3282f70441. PMID 18327037. 

External links[edit]